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. 2020 Feb 13;46(2):285–297. doi: 10.1007/s00134-020-05949-z

Table 1.

Stages of Ebola virus disease presentation.

Adapted from Malvy et al. and Dickson et al. [4, 16]

Time since symptom onset Clinical features Typical patient
Stage 1: early febrile or mild phase 0–3 days Non-specific features: fever, weakness, lethargy, and myalgia Ambulatory, able to compensate for fluid losses; no indication for fluid administration
Stage 2: gastrointestinal phase 3–10 days Same as early stage plus diarrhea, vomiting, or both, or abdominal pain Unable to compensate for fluid losses because of emesis or large volume losses; frequent indication for intravenous fluid administration
Stage 3: complications phase 7–12 days Same as gastrointestinal phase plus hemorrhage, shock, organ failure, and neurological complications Critically ill, often with multisystem organ dysfunction such as acute kidney injury, coagulopathy, hemorrhage, encephalopathy, altered mental status, seizures